Paediatrics

Question 1

What is the most likely organism to cause croup?

Answer 1

Parainfluenza virus

Question 2

what is the most likely causative organism for croup?

Answer 2

parainfluenza virus

Question 3

what is the most likely causative organism for whooping cough?

Answer 3

bordetella pertussis

Question 4

what is the most common complication of roseola infantum?

Answer 4

febrile convulsions 10-15%

Question 5

which organism casues Roseola Infantum?

Answer 5

human herpes virus 6 (sixth disease)

Question 6

how does Roseola Infantum present?

Answer 6

initial period of high fever, followed by maculopapular rash when fever subsides

Question 7

define papule

Answer 7

raised solid or cystic spot <1cm

Question 8

define macule

Answer 8

flat, discolored area of skin <1cm

Question 9

management of Roseola Infantum

Answer 9

supportive: fever control with antipyretics (paracetamol, ibuprofen), hydration and nutrition, monitor for fever convulsions

Question 10

how long should children be kept off school when being treated for impetigo?

Answer 10

until lesions scabbed over or 48h after commencing antibiotics (top fusidic acid)

Question 11

which organism causes hand foot and mouth disease?

Answer 11

coxsackie A

Question 12

what organism causes scarlet fever?

Answer 12

strep pyogens (Group A hemolytic streptococcus)

Question 13

most common complication of measles infection

Answer 13

acute otitis media

Question 14

immunisation schedule at birth

Answer 14

BCG if risk factors

Question 15

immunisation schedule at 2 months

Answer 15

‘6-1 vaccine’ (diphtheria, tetanus, whooping cough, polio, Hib and hepatitis B)
Oral rotavirus vaccine
Men B

Question 16

immunisation schedule at 3 months

Answer 16

6-1 vaccine’ (diphtheria, tetanus, whooping cough, polio, Hib and hepatitis B)
Oral rotavirus vaccine
PCV

Question 17

immunisation schedule at 4 months

Answer 17

‘6-1 vaccine’ (diphtheria, tetanus, whooping cough, polio, Hib and hepatitis B)
Men B

Question 18

immunisation schedule at 12 months

Answer 18

Hib/Men C
MMR
PCV
Men B

Question 19

immunisation schedule at 2-8 years

Answer 19

flu vaccine annual

Question 20

immunisation schedule at 3-4 years

Answer 20

‘4-in-1 pre-school booster’ (diphtheria, tetanus, whooping cough and polio)
MMR

Question 21

immunisation schedule 12-13 years

Answer 21

HPV vaccine

Question 22

immunisation schedule at 13-18 y

Answer 22

‘3-in-1 teenage booster’ (tetanus, diphtheria and polio)
Men ACWY

Question 23

how does fragile X present and what is its aetiology?

Answer 23

macrocephaly, macroorchidism, prominent jaws and ears- trinucleotide repeat mutation of FMR1 gene